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Diagnosis and Management of Rheumatoid Arthritis

About 1.5 million people in the United States have rheumatoid arthritis. Rheumatoid arthritis, or RA, is a chronic, autoimmune disease characterized by pain and inflammation of the joints. With RA, the immune system, which protects our well-being by attacking foreign substances like bacteria and viruses, mistakenly attacks the joints. Rheumatoid arthritis most commonly affects the joints of the hands, feet, wrists, elbows, knees and ankles. Many healthcare professionals recommend early diagnosis and treatment of RA.
AbstractRheumatoid arthritis is the most commonly diagnosed systemic inflammatory arthritis. Women, smokers, and those with a family history of the disease are most often affected. Criteria for diagnosis include having at least one joint with definite swelling that is not explained by another disease. The likelihood of a rheumatoid arthritis diagnosis increases with the number of small joints involved. In a patient with inflammatory arthritis, the presence of a rheumatoid…
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Ankle & Foot Diagnostic Imaging Arthritis & Trauma II| El Paso, TX.

Lisfranc Fracture-Dislocation M/C dislocation of the foot at tarsal-metatarsal articulation (Lisfranc joint). Direct impact or landing and plantar or dorsal flexing the foot. Lisfranc ligament holding 2nd MT base and 1st Cu is torn. Manifests with or w/o fracture-avulsion.Imaging: 1st step: foot radiography in most cases sufficient to Dx. MSK US may help: show disrupted Cu1-Cu2. Ligament and widened space > 2.5mm. MRI may help but not essential. Weight-bearing view aids Dx.2-types: homolateral (1st MTP joint in contact) and divergent (2-5 MT displaced laterally and 1st MT medially)Management: operative fixation is crucialN.B. Atraumatic Lisfranc dislocation is a frequent complication of a diabetic Charcot foot Osteochondral Injury of the Talus (OCD) Common. Non-traumatic found in superior-medial talar dome. Traumatic may affect supero-lateral dome.Clinically: pain/effusion/locking. Imaging is crucial.1st step: radiography may reveal focal radiolucent concavity/halo, fragment.MRI hel…

How Arthritis Can Affect the Knee

Arthritis is characterized as the inflammation of one or multiple joints. The most common symptoms of arthritis include pain and discomfort, swelling, inflammation, and stiffness, among others. Arthritis may affect any joint in the human body, however, it commonly develops in the knee.   Knee arthritis can make everyday physical activities difficult. The most prevalent types of arthritis are osteoarthritis and rheumatoid arthritis, although there are well over 100 distinct forms of arthritis, affecting children and adults alike. While there is no cure for arthritis, many treatment approaches can help treat the symptoms of knee arthritis.

Anatomy of the Knee
The knee is the largest and strongest joint in the human body. It is made up of the lower end of the thigh bone, or femur, the top end of the shin bone, or tibia, and the kneecap, or patella. The ends of the three bones are covered with articular cartilage, a smooth, slippery structure which protects and cushions the bones when be…

What Is Cervical Spondylosis & Can Chiropractic Help? | El Paso, TX.

As we age, specific changes take place in the body. The spine gets a lot of wear and tear because it is the primary supportive structure that does everything from keeping the head upright to providing a pathway for neural impulses, to providing mobility. It’s no wonder that there comes the point where the body just does not function like it once did. Cervical spondylosis is a broad term describing a condition that is related to the natural wear and tear on the disks in the neck.
What is Cervical Spondylosis? Also known as neck arthritis or cervical osteoarthritis, cervical spondylosis is very common in elderly patients, particularly in those over age 60. In fact, more than 85% of people over 60 years of age have some form of it, usually with few or no symptoms present. It does get worse with age, though so it could progress to the point where the patient does experience pain, reduced flexibility, stiffness, lack of mobility, or other symptoms.

Cervical spondylosis is a blanket term t…

Ankle & Foot Diagnostic Imaging Arthritis & Trauma I | El Paso, TX.

Ankle Fractures10% of all fractures. 2nd m/c following femoral neck Fx. Demographics: active young males and older osteoporotic femalesStable Fx: overall prognosis is goodUnstable Fx: require ORIF. 15%-20% chances of 2nd OA.Role of imaging is to determine the complexity, stability and care planning (i.e., operative vs. conservative)Weber classification considers tearing of distal tibial-fibular syndesmosis and potential instabilityWeber A - below syndesmosis. Stable, typically avulsion of the distal fibular malleolusWeber B - at the level of syndesmosis: may be outside syndesmosis and stable or tearing syndesmosis and unstableWeber C - above syndesmosis. Always unstable d/t tearing of syndesmosisVariations of fractures may involve the position/role of the talus bone during Fx (e.g., abduction, adduction, rotation, etc.) this is known as Lauge-Hanson classification Tibiofibular Syndesmosis & Ankle Stability Denis-Weber classification of ankle fractures Clinical Dx Accuracy Ankle Fra…

The Basic Science of Human Knee Menisci Structure, Composition, and Function

The knee is one of the most complex joints in the human body, consisting of the thigh bone, or femur, the shin bone, or tibia, and the kneecap, or patella, among other soft tissues. Tendons connect the bones to the muscles while ligaments connect the bones of the knee joint. Two wedge-shaped pieces of cartilage, known as the meniscus, provide stability to the knee joint. The purpose of the article below is to demonstrate as well as discuss the anatomy of the knee joint and its surrounding soft tissues.

Abstract
Context: Information regarding the structure, composition, and function of the knee menisci has been scattered across multiple sources and fields. This review contains a concise, detailed description of the knee menisci—including anatomy, etymology, phylogeny, ultrastructure and biochemistry, vascular anatomy and neuroanatomy, biomechanical function, maturation and aging, and imaging modalities.Evidence Acquisition: A literature search was performed by a review of PubMed and OV…

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